Prevalence of intimate partner violence against women in Sweden and Spain: A psychometric study of the 'Nordic paradox'

PLoS One. 2019 May 16;14(5):e0217015. doi: 10.1371/journal.pone.0217015. eCollection 2019.

Abstract

The high prevalence of intimate partner violence against women (IPVAW) in countries with high levels of gender equality has been defined as the "Nordic paradox". In this study we compared physical and sexual IPVAW prevalence data in two countries exemplifying the Nordic paradox: Sweden (N = 1483) and Spain (N = 1447). Data was drawn from the European Union Agency for Fundamental Rights Survey on violence against women. To ascertain whether differences between these two countries reflect true differences in IPVAW prevalence, and to rule out the possibility of measurement bias, we conducted a set of analyses to ensure measurement equivalence, a precondition for appropriate and valid cross-cultural comparisons. Results showed that in both countries items were measuring two separate constructs, physical and sexual IPVAW, and that these factors had high internal consistency and adequate validity. Measurement equivalence analyses (i.e., differential item functioning, and multigroup confirmatory factor analysis) supported the comparability of data across countries. Latent means comparisons between the Spanish and the Swedish samples showed that scores on both the physical and sexual IPVAW factors were significantly higher in Sweden than in Spain. The effect sizes of these differences were large: 89.1% of the Swedish sample had higher values in the physical IPVAW factor than the Spanish average, and this percentage was 99.4% for the sexual IPVAW factor as compared to the Spanish average. In terms of probability of superiority, there was an 80.7% and 96.1% probability that a Swedish woman would score higher than a Spanish woman in the physical and the sexual IPVAW factors, respectively. Our results showed that the higher prevalence of physical and sexual IPVAW in Sweden than in Spain reflects actual differences and are not the result of measurement bias, supporting the idea of the Nordic paradox.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bias
  • Cross-Cultural Comparison
  • Emotions
  • Female
  • Humans
  • Intimate Partner Violence / psychology*
  • Male
  • Middle Aged
  • Prevalence
  • Probability
  • Psychometrics / methods*
  • Risk Factors
  • Spain / epidemiology
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Young Adult

Grants and funding

This research was supported by Grants PSI2017-84764-P (EG, ML), and BES-2015-075576 (MM-F) from the Spanish Ministry of Economy and Competitiveness (http://www.mineco.gob.es), and by Grants VR-2017-01321 (JM), and VR-2017-03093 (A-KI) from the Swedish Research Council (https://www.vr.se). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.